*. PERSONAL DETAILS

Surname : SHARMA

First Name : AMULYA

Middle Name : LAXMICHAND

Nationality : INDIAN

Date of Birth : 28/02/1994

Place of Birth : CHANDIGARH

Weight (kg) : 85

Height (cm) : 185

BMI : 24.79

Post Applied for :

TRAINEE MARINE ENGINEER

Permanent Address : H NO – 3250 SECTOR – 70 MOHALI, PUNJAB

Present Address : H NO – 3250 SECTOR – 70 MOHALI, PUNJAB

PIN Code: 160071

Nearest Airport: CHANDIGARH

PIN Code: 160071

Tel No / Mobile No: 784*******

Tel No / Mobile No: 784*******

Email ID: acsseg@r.postjobfree.com

2. PASSPORT DETAILS

Passport No.

Date of Issue

Place of Issue

Date of Exp.

ECNR

Blank Pages

L3986135

01/08/2013

Chandigarh

31/07/2023

31

3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’s Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

INDIAN

MUM248402

07/05/2015

MUMBAI

06/05/2025

INDOS

11EL2280

25/07/2011

MUMBAI

4. FAMILY INFORMATION

Full Name of Next of Kin : LAXMI CHAND SHARMA

Relationship : FATHER

Address of Next of Kin: H NO – 3250 SECTOR – 70 MOHALI, PUNJAB

Tel No. : 977-***-****

Family Data

Name

Occupation

Contact Number/e-mail ID

Father

LAXMI CHAND SHARMA

CIVIL ENGINEER

977-***-****

Mother

URMILA SHARMA

TEACHER

976-***-****

Brother/Sister

ADITYA SHARMA

COMP. ENGINEER

769-***-****

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING

PERCENTAGE

PCM

PERCENTAGE

BOARD / UNIVERSITY

B.TECH MARINE

2015

72.39

Y.C.M.O.U

H.S.C.

2011

72.6

72

PUNJAB BOARD

S.S.C.

2009

75

CBSE

6. DETAILS OF B.TECH (MARINE) COURSE:

SEMESTER

PERCENTAGE

AVERAGE %

SEMESTER 1

75.5

72.39

SEMESTER 2

70.83

SEMESTER 3

75.5

SEMESTER 4

71.83

SEMESTER 5

66.33

SEMESTER 6

72.16

SEMESTER 7

72.16

SEMESTER 8

74.83

7. STCW AND OTHER COURSES

Details of Courses & Certificates

Number

Dt. Of Issue

Pl. of Issue

Issued by

Advanced / Basic Fire Fighting

151***********

18/08/2015

MUMBAI

SCI (MTI)

Proficiency in Survival Craft / Rescue Boat / PST / PSC RB Up gradation

151***********

18/08/2015

MUMBAI

SCI (MTI)

Elementary / Medical First Aid / Medicare

D372993F2E5A12BD

12/07/2014

MUMBAI

NAMAC

Personal Safety & Social Responsibility (PSSR)

85F28AB92F5910E4

16/07/2014

MUMBAI

NAMAC

OIL Tanker Familiarization

OTF/05/15/042

24/07/2015

MUMBAI

MASSA MARITIME ACADEMY

Chemical Tanker Familiarization

CTF/05/15/045

31/07/2015

MUMBAI

MASSA

Gas Tanker Familiarization

GTFC/04/24/2015

19/06/2015

MUMBAI

YAK

(Security Training For Seafarers With Designated Security Duties) STSDSD

MANET/STSDSD/127/2015

25/08/2015

PUNE

MANET

HOBBIES AND INTERESTS-

8. OTHER CERTIFICATES

Sr.No.

Details of the Certificates

01

GOLD MEDAL IN THE ‘ALL INDIA UNIVERSITY ROWING GAMES 2014’, KOLKATA

02

WON A GOLD MEDAL IN THE 29TH MAHARASHTRA STATE ROWING CHAMPIONSHIP

02

REPRESENTED ‘THE STATE OF MAHARASHTRA IN THE NATIONAL GAMES 2015’, KERALA

03

GOLD MEDAL IN NATIONAL LEVEL ENGINEERING SPORTS MEET “SUMMIT”

04

‘BEST SPORTS PERSON OF THE YEAR 2013-14 AND 2014-15’

9. DECLARATION

I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.

Date :20/08/15 Name : AMULYA SHARMA

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